Organization Active NPI

Cantrell Physical Therapy, Inc.

  • Physical Therapist
  • Hermitage, TN
National Provider Identifier
1619921004
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0000004641 Issued in TN
Legal business name
CANTRELL PHYSICAL THERAPY, INC.
Practice address
275 Jackson Meadows Dr
Suite 101
Hermitage, TN 37076-1426
Phone
(615) 885-7848
NPI assigned
May 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nixon Hall Cantrell, P.T.NPI 1629025689
Title
President/Owner
Phone
(615) 885-7848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0000004641 TN Primary

Addresses

Primary practice location

275 Jackson Meadows Dr
Suite 101
Hermitage, TN 37076-1426

Mailing address

275 Jackson Meadows Dr
Suite 101
Hermitage, TN 37076-1426
Phone (615) 885-7848

Other identifiers 1

IdentifierTypeStateIssuer
3732254MedicaidTN

National Provider Directory

National Provider Directory

Locations

545 N Mount Juliet Rd
Ste 1101
Mt Juliet, TN 37122
Phone (615) 553-4645

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619921004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 JACKSON MEADOWS DR",
            "address_2": "SUITE 101",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761426",
            "telephone_number": "615-885-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 JACKSON MEADOWS DR",
            "address_2": "SUITE 101",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761426",
            "telephone_number": "615-885-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTRELL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "NIXON",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "615-885-7848",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "0000004641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3732254",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.